ATI RN
ATI Nur 104 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is administering several medications via a client's gastrostomy tube. At which of the following times should the nurse instill 15 to 30 mL of warm water? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Instilling water before and after each medication and after all medications ensures tube patency and prevents clogging. Water before aspiration interferes with residual checks, and slow flow requires tube assessment.
Question 2 of 5
A nurse is preparing to administer 0.45% sodium chloride (NaCl) 2000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 250
Rationale: Calculation: 2000 mL / 8 hr = 250 mL/hr. The nurse should set the IV pump to 250 mL/hr.
Question 3 of 5
A nurse is planning to discharge a client who has quadriplegia to his home. The nurse suggests that the family might need respite care services. When a family member asks how respite care can help, which of the following responses should the nurse provide?
Correct Answer: D
Rationale: Respite care provides caregivers temporary relief from duties, not terminal care, pain relief, or post-death support.
Question 4 of 5
A nurse is orienting a newly licensed nurse about documentation of a client's information in the electronic health record. Which of the following statements by the newly licensed nurse indicates understanding of the purpose of documentation?
Correct Answer: B
Rationale: Documentation communicates client condition and care among the healthcare team, ensuring continuity. It’s not primarily for monitoring nurses, financial charges, or audits.
Question 5 of 5
A nurse is administering an oral medication to an older adult client. The client states, 'The pill I always take is green. I don't take an orange pill.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Verifying the medication order ensures safety, addressing the client’s concern about the pill’s appearance.